06-0502 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 06-00000502"
Property Address: 79267 HORIZON PALMS CIR
APN: 604-100-061-139 -19903 -
Application description. PATIO COVER - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
.Application valuation: 2527
Applicant:
Architect or Engineer:
a1A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
onm T�TL'CT
IZON
CA
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B License No.: 860958
ate:. 1 I b (o ontracttir
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the*
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.). '
Lender's Name:
Lender's Address: pip.
LQPERMIT
PALMS CIR.
92253
PATIO
ERT STREAM
CA 92253
7593
860958
DR
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/01/06
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
iC person in any manner so as to become su ' o the workers' compensation laws of California,
and agree that, if I ould be a subje to t e workers' compensation provisions of Section
3700 �the Code, I sh forthwit co ply with those provisions.
Oate:
WARNING: FA URE TO SECURE ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date ofothat
h permit, or cessation for 180 days will subject
permit to cancellation.
I certify that I have read this application andb a information is rre I agree to comply with all
cityand county ordinances and state laws rg on ruction, and h authorize representatives
of this jmy to enter upon the above-menripection purposee: d 1t 1 OCrture(Applicant o
�T
Application Number . . . . . 06-00000502
Permit . . . . PATIO COVER
PERMIT
Additional desc .
Permit Fee . . 54'.00
Plan Check
Fee
35.10
Issue Date
Valuation
2527
Expiration Date 7/31/06
Qty Unit Charge Per
Extension
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and.Comments
190 S.F. ALUMAWOOD LATTICE PATIO
COVER,
PER APPROVED PLANS
-------------------------------------------------------
Other Fees . . . . . . . . . STRONG MOTION (SMI)
-------
- RES
--------------
.50
Fee summary Charged
---------- -------
Paid Credited
= -- ----------
----------
Due
-----------------
Permit Fee Total 54.00
.00
.00
54.00
Plan Check Total 35.10
.00
.00
35.10
Other Fee Total .50
.00
.00
.50
Grand Total 89.60
.00
.00
89.60
i
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Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # oI\
Q'
Project Address: —19 `Z k-V6Y-1 zbh QJvms GG rcpt
Owner's Name: Oh W v5 T
A. P. Number:
Address: '1 c 2�P% Yt 7 0V\ 01,eh,s (-A, c.lk
Legal Description:
City, ST, Zip:
Contractor: lA�'t
Telephone:
_NW
Address: `iQ2�15 ��2 /�- �3i�
Project Description: A"O, 009 6A-Ck
City, ST,.ZiP: CA Ci 2253
`
Telephone: ) c't -
_ -
City Lic. #:
ct D `I`
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
tl� Q
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: J-EstimAted-Value
of.Project:.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check_ submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
0)
C11/25/2006 11:01 FAX '760 862 1210
DESERT MANAGEMENT' X001/001
LA QUINTA PALMS
HOMEOWNERS ASSOCIATION
C/O DESERT MANAGEMENT
P.O. BOX 799 RANCHO MIRAGE, CA, 92270
760-862-1202
January 25, 2006
Mr, Ron West
79267 Horizon Palms Circle
La Quinta, Ca. 92253
Re: Architectural Request Approval .
Dear Homeowner,
Please be advised the Architectural Committee and the Board of Directors have
approved your architectural request per the plans submitted. If any changes to
the original plans are needed, please inform Desert Management as soon as
possible so the original plans can be changed and approved.
Thank you for following all of the proper procedures for your request, which will
continue to make La Quinta Palms HOA a beautiful place to reside.
If you have any questions, please feel free to call at 760-862-1202.
Thank you for your.time!
Sincerely,
Desert Management
For La Quinta Palms HOA
Anly R- Gunderson
Amy R. Gunderson
Association Manager